Madison Health And Rehab - Madison Nursing Home
General Information
UPDATEFederal Provider Number
115457
Provider Name
MADISON HEALTH AND REHAB
Provider Address
2036 SOUTH MAIN STREET
MADISON, GA 30650
MADISON, GA 30650
Provider Phone Number
(706) 342-3200
Provider SSA County
771
Provider County Name
Morgan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE LEAF INVESTMENT INC
Date First Approved to Provide Medicare and Medicaid services
1989-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.12143
Reported LPN Staffing Hours per Resident per Day
0.80143
Reported RN Staffing Hours per Resident per Day
0.29643
Reported Licensed Staffing Hours per Resident per Day
1.09786
Reported Total Nurse Staffing Hours per Resident per Day
4.21929
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04571
Expected CNA Staffing Hours per Resident per Day
2.57001
Expected LPN Staffing Hours per Resident per Day
0.62140
Expected RN Staffing Hours per Resident per Day
0.96901
Expected Total Nurse Staffing Hours per Resident per Day
4.16041
Adjusted CNA Staffing Hours per Resident per Day
2.98017
Adjusted LPN Staffing Hours per Resident per Day
1.07047
Adjusted RN Staffing Hours per Resident per Day
0.22858
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08794
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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